Shine Om Yoga Liability Waiver Agreement
Thank you for enrolling in our yoga classes and congratulations on honouring yourself with self-care. I look forward to getting to know you throughout our time together and witnessing you connect deeper with yourself and your practice.

Please complete the form below to help me know you better and ensure a safe and comfortable practice.

Parents and Guardians are required to complete this form on behalf of their child(ren).

Thank you,
Shine Om
Email address *
Participants Full Name and address *
I identify as (Check all that apply) *
Date of Birth
Emergency Contact Name/Relationship/Contact Number: *
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